The Anti-Obesity and Health-Promoting Effects of Tea and Coffee
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Physiol. Res. 70: 161-168, 2021 https://doi.org/10.33549/physiolres.934674 REVIEW This paper is dedicated to the 70th anniversary of the founding of Physiologia Bohemoslovaca (currently Physiological Research) The Anti-Obesity and Health-Promoting Effects of Tea and Coffee Alexander V. SIROTKIN1, Adriana KOLESAROVA2 1 Faculty of Natural Science, Constantine the Philosopher University in Nitra, Nitra, Slovak Republic, 2Faculty of Biotechnology and Food Sciences, Slovak University of Agriculture in Nitra, Nitra, Slovak Republic Received March 7, 2021 Accepted March 18, 2021 Summary Introduction This paper reviews provenance, chemical composition and properties of tea (Camelia sinensis L.) and coffee (Coffee arabica, Tea and coffee are the most popular drinks, the L. and Coffea caniphora, L.), their general health effects, as well most highly traded and valued commodities that as the currently available knowledge concerning their action on originates from the developing world. Their global fat storage, physiological mechanisms of their effects, as well as consumption is permanently increasing due to their their safety and recommended dosage for treatment of obesity. sensory and health properties. They can help in Both tea and coffee possess the ability to promote health and to preventing and combatting obesity – the current world’s prevent, to mitigate and to treat numerous disorders. This ability pandemics. World’s leading cause of death are diseases can be partially due to presence of caffeine in both plants. related to metabolic dysfunctions. The most significant in Further physiological and medicinal effects could be explained by this aspect is overweight, which affects 1.9 billion of other molecules (theaflavins, catechins, their metabolites and people around the world, of whom 650 millions are obese polyphenols in tea and polyphenol chlorogenic acid in coffee). (Haider and Larose 2019). Obesity and overweight can These plants and plant molecules can be efficient for prevention facilitate diabetes, cause inflammations, cardiovascular and treatment of numerous metabolic disorders including and reproductive diseases as well as cancer (Skrypnik metabolic syndrome, cardiovascular diseases, type 2 diabetes et al. 2017, Sung et al. 2018). In addition to these health and obesity. Both plants and their constituents can reduce fat risks, they are a cause of mobility issues, as well as storage through suppression of adipocyte functions, and support problems in social and sexual relationships. They lower of gut microbiota. In addition, tea can prevent obesity via self-esteem and the overall quality of life. They also lead reduction of appetite, food consumption and food absorption in to considerable economic losses. Health care concerning gastrointestinal system and through the changes in fat patients with obesity incurs at least 25 % higher metabolism. expenditures and causes losses of 1-3.6 % of the gross domestic product of a country (Mohamed et al. 2014). Key words Prevention and treatment of diseases using natural Obesity • Adipocyte • Tea • Coffee • Metabolism • Food products and functional food of plant origin have always consumption been the basis of folk and oriental medicine. Nowadays, they are experiencing a renaissance and their popularity is Corresponding author growing even in the official medicine and self-treatment. A. V. Sirotkin, Dept. Zoology and Anthropology, Constantine the Coffee and tea could be promising candidates for Philosopher University in Nitra, Tr. A. Hlinku 1, 949 74 Nitra, prevention and treatments of various diseases including Slovak Republic. E-mail: asirotkin@ukf.sk obesity. PHYSIOLOGICAL RESEARCH • ISSN 1802-9973 (online) 2021 Institute of Physiology of the Czech Academy of Sciences, Prague, Czech Republic Fax +420 241 062 164, e-mail: physres@fgu.cas.cz, www.biomed.cas.cz/physiolres
162 Sirotkin and Kolesárová Vol. 70 Provenance and properties Positive effects on human health Tea Tea Tea tree (Camelia sinensis, L.) is a bush or Polyphenols of green tea are efficient against a small tree from the Theaceae family grown in tropic chronic inflammatory conditions of liver, gastrointestinal and subtropical regions around the world. In Southeast tract, and against neurodegenerative diseases (Oz 2017). Asia, the most common cultivar is Camellia sinensis Anti-inflammatory effect of polyphenols can be sinensis, in India and on Ceylon - Camellia sinensis explained by their action on gastrointestinal microbiota, assamica. Based on the processing method (fermentation which is responsible for immune responses (Yang et al. in the presence of bacteria or oxidation) and the taste, 2016). colour, aroma and biological effect of the tea, we Tea molecules at the right ratio counteract recognize white, green, matcha, black, oolong, and Pu- anxiety and stress (Unno et al. 2018). A link has been erh tea (Rothenberg et al. 2018, Tang et al. 2019). determined between green tea consumption and memory Despite most of Europe and the New World of older men. It is peculiar that the memory of older being accustomed to black tea, more antioxidants and women was not affected (Xu et al. 2018). tannins are present in non-oxidated and non-fermented Tea catechins can have an anti-tumour effect. white and green teas (Prasadh et al. 2019) and they also They inhibit multiplication of cells, trigger their apoptosis have a stronger benefit to health. (death) and autophagy and reduce vitality of cancer cells From the standpoint of biology and medicine, (Singh et al. 2018). They can even enhance the the most important are tea metabolites – alkaloid therapeutic effects of medicine against tumour diseases theobromine, its metabolite caffeine (1,3,7 trimethyl- and simultaneously mitigate their adverse side-effects xantin) and polyphenols (theaflavins), catechins – (Cao et al. 2016, Bedrood et al. 2018). epigallocatechin, epicatechin and their metabolites Most studies carried out on animals and humans epigallocatechin gallate, epicatechin gallate. report that tea (extract from tea tree leaves) reduces gallocatechins and gallocatechin gallate. Gallates contain manifestations of metabolic syndrome, diabetes and biologically active ethers of gallic acid. Tea contains also cardiovascular diseases (including reducing the risk of smaller amounts of other biologically active polyphenols heart attack) (Yang et al. 2018). Other studies – quercetin, kaempferol and myricetin. Black tea contains demonstrated positive effect of tea on decreasing insulin also polyphenolic compounds theaflavins and in blood, but not on the concentration of glucose, thearubigins (Saeed et al. 2017, Khan and Mukhtar, 2018, triacylglycerols, fatty acids and hormones of adipose Rothenberg et al. 2018, Tang et al. 2019). In addition to tissue (Mielgo-Ayuso et al. 2014, Li et al. 2016). Yang that, tea contains microelements borate, cobalt, copper, et al. (2016), however, reported that the reduced glucose iron, manganese, molybdenite and lead (Karak et al. levels in blood can be caused by the action of green tea 2017), pigments, polysaccharides, alkaloids, free amino polyphenols on glucose production in liver. acids, and saponins (Tang et al. 2019). Coffee Coffee Clinical studies demonstrated that the ability of Coffee plant (Coffea spp.) is a short tree or coffee to reduce blood sugar is not dependent on caffeine a bush native to Africa, the fruits of which are red coffee but on its other components (Tunnicliffe and Shearer “cherries.” For preparation of drinks, two coffee species 2008). This effect probably comes from chlorogenic acid. are used – Coffee arabica, L. (Arabica coffee) and Coffea Chlorogenic acid has antioxidant and anti-inflammatory caniphora, L. (Robusta coffee). The best-known effects, it can affect metabolism of glucose and lipids. molecule in this fruit is alkaloid methylxanthine caffeine Thanks to its antioxidant, anti-inflammatory and (1,3,7 trimethylxantin) – a toxin, which protects the plant metabolic effects, coffee and its molecule chlorogenic from herbivores. In addition to caffeine, coffee fruit acid have a preventive and therapeutic influence against contains alkaloid trigonelline, polyphenol chlorogenic diabetes, cardiovascular diseases, tumours, inflammation, acid, ferulic acid, diterpenes cafestrol and kahweol, lipidation of liver and Parkinson disease (Ludvig et al. melanoidins and coffee lipids and microelements 2014, Tajik et al. 2017, Islam et al. 2018, Perumpail et al. (Ludwig et al. 2014, Islam et al. 2018, Stefanello et al. 2018). Their consumption can be recommended not only 2018). to healthy people but also to people with high cholesterol
2021 Tea and Coffee Against Obesity 163 and blood glucose, with hypertension, metabolic digestion. For example, they produce short fatty syndrome (Sarriá et al. 2018, Xie et al. 2018) or diabetes acids, which increase the rate of lipid (Tunnicliffe and Shearer 2008). Anti-diabetic effects metabolism (Yang et al. 2016, Rothenberg et al. were determined not only for chlorogenic acid but also 2018), for other acid components of coffee – caffeine and ferulic • they inhibit the differentiation and proliferation acid (Islam et al. 2018). of preadipocytes, (Pan et al. 2016), Large-scale studies showed a correlation • they reduce lipid production (Huang et al. 2014, between the habit of drinking coffee and reduced Yang et al. 2016), mortality linked to cardiovascular diseases, reduced risk • they promote lipolysis and lipid metabolism of heart attacks and diabetes. Contrary to a popular belief, (Pan et al. 2016, Yang et al. 2016), drinking coffee was not linked to increased occurrence of • they stimulate conversion of white adipose cardiac arrhythmias (Bhatti et al. 2013). Thanks to the tissue to brown, increase its oxidation, burning ability of coffee’s antioxidants to bind free radicals and expenditure of energy through heat (Yashin et al. 2013) and to reduce diseases and mortality, production (Huang et al. 2014, Silvester et al. coffee earned the title “longevity beverage” (Bhatti et al. 2018, Willems et al. 2018), 2013). • they promote fecal lipid excretion (Huang et al. 2014). Anti-obesity effects However, it is necessary to take into consideration that the effect of green tea and its Tea molecules manifests only when large doses are All performed studies (with the exception of consumed. Vázquez Cisneros et al. (2017) recommended Mielgo-Ayuso et al. 2014) validated the ability of tea and a daily dose of 100-460 mg of epigallocatechin gallate its components to reduce fat stores and body weight of plus 80-300 mg of caffeine a day over the course of 12 humans (Huang et al. 2014, Janssens et al. 2016, Li et al. and more weeks. Yang et al. (2016, 2018) recommended 2016, Pan et al. 2016, Vázquez Cisneros et al. 2017, 3-4 cups of strong tea (600-900 mg of catechins) a day Rothenberg et al. 2018, Yang et al. 2016, 2018). for at least 8 weeks minimum (Yang et al. 2018). This effect was achieved thanks to polyphenols (Pan et al. 2016, Silvester et al. 2019). According to the Coffee existing data, epigallocatechin and caffeine from tea The results of in vitro and animal studies suggest leaves have independent mechanisms of effect but that coffee can reduce storing of fat in the body by synergic effect on weight loss (Janssens et al. 2016, several mechanisms: Türközü and Tek 2017, Vázquez Cisneros et al. 2017). • It inhibits multiplication of adipocytes (Pan According to some sources, black tea et al. 2016), polyphenols are more efficient than green tea polyphenols • It influences transcription factors and other (Pan et al. 2016), but other authors report evidence of proteins involved in production of lipids in these stronger effect of green tea (Yang et al. 2016). cells (Tamura 2020), It is presupposed that tea molecules reduce fat • Through action on gastrointestinal microbiota, stores through several pathways (Huang et al. 2014, Pan which can also affect obesity (Pan et al. 2016). et al. 2016, Yang et al. 2016, Rothenberg et al. 2018, Thanks to these effects, coffee can reduce fat Silvester et al. 2018, Willems et al. 2018): stores in obese animals and humans (Hasani-Ranjbar • they influence neuroendocrine metabolic et al. 2009, Onakpoya et al. 2011, Pan et al. 2016, Ríos- regulators of appetite and reduce food Hoyo and Gutiérrez-Salmeán 2018, Tabrizi et al. 2019, consumption (Huang et al. 2014), Tamura, 2020) and reduce body weight of humans • they reduce emulsion and absorption of lipids (Hasani-Ranjbar et al. 2009, Onakpoya et al. 2011, Pan and protein in gastrointestinal system and et al. 2016, Tabrizi et al. 2019). A study of Sarriá et al. consequently reduce calorie intake (Huang et al. (2018) determined a positive effect of green and roasted 2014, Pan et al. 2016), coffee on metabolic indexes but not on body weight of • they act on gastrointestinal microbiota (lacto- patients. and bifidobacteria), which are responsible for
164 Sirotkin and Kolesárová Vol. 70 Possible adverse side-effects an ingredient in food with added value. All types of tea have a positive effect on health and weight reduction. In Tea medication, tea can be substituted by its functional Tea consumption at a dose of 3 cups a day components – epigallocatechin gallate and caffeine mixed (Karak et al. 2017) or epigallocatechin gallate at a dose of at a given ratio. 300 mg a day over the course of 12 weeks (Mielgo- However, it is necessary to remember that the Ayuso et al. 2014), or 704 mg epigallocatechin gallate effects of tea will manifest only at large doses (3-4 cups a day (Hu et al. 2018) had no significant adverse side- of strong tea a day, which represents 1-2 g of tea effects. No cyto- and genotoxic, mutagenic, carciogenic containing 100-600 mg polyphenols) and long-term use. and embryotoxic effects of green tea were determined Minimum length of the treatment is 8 weeks. For those either (Bedrood et al. 2018). not used to drink large amounts of tea, there is Consumption of tea polyphenols can have an alternative – condensed tea or its pure components. a toxic effect on liver (Mazzanti et al. 2015) especially However, in that case its adverse side-effects on liver and when consumed on empty stomach (Bedrood et al. 2018), reproductive system cannot be excluded. or as pills rather than as beverage (Ho et al. 2018). Some studies reported the ability to caffeine to affect negatively Coffee the reproductive system – damage DNA, reduce sperm Scientific results validate coffee extract’s capacity and prolong pregnancy (Ricci et al. 2017). application for weight loss and treatment of some metabolic disorders (diabetes, obesity, etc.). Coffee has Coffee a number of other positive physiological effects on health Caffeine in large doses can cause anxiety, and longevity. Adverse side-effects of coffee are not insomnia, loss of calcium from the body and consequent serious and they manifest only when consumption is increased risk of fractures, especially in people with excessive. This knowledge allows to recommend coffee osteoporosis (Bhatti et al. 2013). Possible negative extract as an ingredient in a beverage intended for weight effects of caffeine on brain development and loss. development of reproductive organs in embryos and At present, the market offers numerous kinds of children have not been excluded (Islam et al. 2018). coffee. Naturally, a question arises as to which are the There are indications that caffeine and coffee can damage most efficient for weight reduction and at what dose. sperm and prolong pregnancy (Ricci et al. 2017). Cafestrol and kahweol can increase blood cholesterol Is green coffee better for weight loss then roasted? levels (de Roos et al. 1999). Despite these findings, large- During roasting of green coffee, so called scale studies found no statistically significant effect of Mallard Reaction metabolizes chlorogenic acid to coffee and caffeine consumption on the occurrence of antioxidant melanoid, which is responsible for the health complications in adults, pregnant women, biological activity of this acid (Tunnicliffe and Shearer adolescents and children (Doepker et al. 2018) and 2008, Dybkowska et al. 2017). Green coffee contains conversely, they determined positive effect on health and fewer antioxidants and polyphenols than roasted longevity (see above). (Odžaković et al. 2016). This means that roasting increases rather than reduces the metabolic effects of General evaluation and recommendations coffee. Tea Is decaffeinated coffee better for weight loss? Tea belongs to humankind’s favourite Decaffeination decreases the antioxidant activity beverages. It has many positive effects on health. It is of coffee (Yashin et al. 2013). Tunnicliffe and Shearer applied in prevention and treatment of a number of (2008) proved that positive effects of coffee are not diseases. In Japan, green tea is added to everything dependent on caffeine at all but instead on other including desserts and ice cream. Influence of tea on components. Therefore, in relation to weight loss the body weight reduction is conclusively validated by presence or absence of caffeine in your coffee makes no science. Considering its effects, it is possible to difference. recommend it as a method of weight loss stimulation or
2021 Tea and Coffee Against Obesity 165 How much coffee to drink for weight reduction? besides caffeine, can be explained by presence of One strong cup of coffee contains 60 mg of pure theaflavins, catechins, their metabolites and polyphenols chlorogenic acid. This dose has essentially no effect on quercetin, kaempherol and myricetin, whilst the absorption of chlorogenic acid into the body (Williamson physiological effects of coffee are probably related to et al. 2011). Metabolic effect is achieved at daily intake caffeine and polyphenol chlorogenic acid (see above). of minimum 510.6 mg of chlorogenic acid and 121.2 mg Due to anti-oxidant and anti-inflammatory properties of caffeine (Sarriá et al. 2018). In Canada, considered these plant molecules can be efficient for prevention and a safe dose for adults are 400 mg of caffeine for one-time treatment of numerous metabolic disorders including dose (Doepker et al. 2018). Drinking 5 cups of coffee metabolic syndrome, cardiovascular diseases, type 2 a day had only positive effects on health (Carlström et al. diabetes and obesity. Both plants and their constituents 2018). can prevent and reduce fat storage through suppression of This evidence speaks in favor of roasted coffee adipocyte functions and support of gut microbiota. In extract with about 400 mg of caffeine and/or 510 mg of addition, tea can prevent obesity via reduction of appetite chlorogenic acid, which corresponds 3-5 cups of strong and reduce food consumption and food absorption in coffee a day to be used for weight reduction. This amount gastrointestinal system and changes in fat metabolism. can be considered a metabolically efficient as well as safe It is necessary to keep in mind, that the anti- dose. For those who cannot manage so many coffees obesity effects of both tea and coffee can be expressed a day, coffee can be replaced by an adequate amount of only by intensive consumption of large amounts chlorogenic acid and caffeine. (3-6 cups of strong drink daily). Conclusion Conflict of Interest There is no conflict of interest. Both tea and coffee possess the ability to promote health and longevity, as well as to prevent, to Acknowledgements mitigate and to treat numerous disorders including This work was supported by the Slovak Research and obesity and obesity-related illnesses (Bhatti et al. 2013). Development Agency (APVV) under the contract APVV- This ability can be partially due to presence of caffeine in 15-0296, APVV-18-0312 and by the Slovak Grant both plants. Further physiological and medicinal effects Agency of the Ministry of Education, Science and Sport could be explained by other molecules, which are and the Slovak Academy of Science (VEGA), project different in these plants, but which can have common VEGA 1/0392/17, VEGA 1/0266/20. antioxidant properties. The physiological effects of tea, References BEDROOD Z, RAMESHRAD M, HOSSEINZADEH H: Toxicological effects of Camellia sinensis (green tea): A review. Phytother Res 32: 1163-1180, 2018. https://doi.org/10.1002/ptr.6063 BHATTI SK, O'KEEFE JH, LAVIE CJ: Coffee and tea: perks for health and longevity? Curr Opin Clin Nutr Metab Care 16: 688-697, 2013. https://doi.org/10.1097/MCO.0b013e328365b9a0 CAO J, HAN J, XIAO H, QIAO J, HAN M: Effect of Tea Polyphenol compounds on anticancer drugs in terms of anti-tumor activity, toxicology, and pharmacokinetics. Nutrients 8: pii: E762, 2016. https://doi.org/10.3390/nu8120762 CARLSTRÖM M, LARSSON SC: Coffee consumption and reduced risk of developing type 2 diabetes: a systematic review with meta-analysis. Nutr Rev 76: 395-417, 2018. https://doi.org/10.1093/nutrit/nuy014 DE ROOS B, SAWYER JK, KATAN MB, RUDEL LL: Validity of animal models for the cholesterol-raising effects of coffee diterpenes in human subjects. Proc Nutr Soc 58: 551-557, 1999. https://doi.org/10.1017/S0029665199000725 DOEPKER C, FRANKE K, MYERS E, GOLDBERGER JJ, LIEBERMAN HR, O'BRIEN C, PECK J, TENENBEIN M, WEAVER C, WIKOFF D: Key findings and implications of a recent systematic review of the potential adverse effects of caffeine consumption in healthy adults, pregnant women, adolescents, and children. Nutrients 10: 2018. pii: E1536. https://doi.org/10.3390/nu10101536
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